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Successful pregnancy in a woman with uterine scarring by transverse fundal cesarean section
Author(s) -
Nishida Ryutaro,
Morikawa Mamoru,
Yamada Takahiro,
Takeda Masamitsu,
Akaishi Rina,
Cho Kazutoshi,
Minakami Hisanori
Publication year - 2014
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/jog.12361
Subject(s) - medicine , pregnancy , obstetrics , uterine rupture , fundus (uterus) , uterus , respiratory distress , gynecology , surgery , genetics , biology
Abstract There has been only one case to date of pregnancy outcome after fundal transverse cesarean section ( FTC ). We report a pregnancy established after FTC . The FTC was performed at gestational week ( GW ) 24 in this patient's first pregnancy, but the uterus was preserved. Magnetic resonance imaging studies performed four times in her second pregnancy consistently showed part of the uterine fundus in which the muscle layer was interrupted. Concern regarding spontaneous uterine rupture in the absence of labor pains prompted us to interrupt her pregnancy at GW 31 +5 , delivering a premature, but otherwise healthy female infant, weighing 1832 g. The infant required transient intratracheal intubation for respiratory distress syndrome (for less than 1 h), but had an otherwise uneventful clinical course. Two cases, including ours, suggest that successful pregnancy outcome is feasible at least in some women with uterine scarring due to FTC .